Gongora, Magdelenis

Gongora, Magdelenis is an individual health care provider with primary practice located at 4502 Medical Dr , San Antonio TX 78229. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Gongora, Magdelenis can be contacted via phone (210) 450-9000.

Contact Information

Primary practice address
4502 Medical Dr San Antonio TX 78229
Phone: (210) 450-9000
Fax: (210) 450-4903
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X R8196 Texas

Profile Details

NPI number 1871850487
LBN Legal business name Gongora, Magdelenis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2012
Last updated May 10th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871850487 NPPES
Texas MEDICAID 395367102
Texas Other 395367103

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